Vol. XLII. No. 3 25 Cents a Copy 2 September, 1931
MID-PACIFIC MAGAZINE
COUNT HIRATARO HAYASHI President of the Education Association of Japan.
OFFICIAL ORGAN OF THE PAN-PACIFIC UNION
- - ICIIICILUICLUMMinfailnlinILMInItalLitnnallealnItilltrIty[1111111(111( Mil/ rt ITU \IMAM Uf; t • •• (. it I 0. 4 r flito-artur 1aga3tur . CONDUCTED BY ALEXANDER HUME FORD . '--. Volume XLII Number 3 CONTENTS FOR SEPTEMBER, 1931 • 4 . I '?-- The Work of the Pan-Pacific Union - - 203 4 ByAlexander Hume Ford • 4 The Fighting Instinct and its Utilization for Peace - - 207 • By Count Hirotaro Hayashi • Ca . 4 The Seven Ages of Women in Medicine - - 211 • 4 By Kate C. Mead, M.D. • The Far Eastern Tropical Association of Medicine - 219 By Ernest Hartman and W. W. Cadbury • 11 A Nursery School in Hawaii - - - - 223 . PI By Alida Visscher Shinn • *. Individual Versus Group Education - - 226 • 4:.• By Max Oschwald • ei Philippine Independence - - - - - 229 1•4- • By Isauro Gabaldon Fiji and Canada - - - - 235 I' .t. - - - 239 • 4 Early Japanese Contact with Siam • By Ippei Fukuda . ii Tropical Island Gardening - - - 241 . By Richard Tongg • - - - - 247 . 4 Unknown Mexico ---,.-. By Serior Mauricio Fresco 2 - - - 251 . i Through Chile's Switzerland 4 Sukiyaki Made at Home - - - - - 257 • By Inez Wheeler Westgate 1,--„. The Passion Fruit - - - - 261 4 By Albert H. Benson, M.R.A.C. ED I 1 Skiing in the Antarctic - - - - 265 F By Rear Admiral E. R. G. R. Evans i It The Maoris of New Zealand - - - - 269 ,,4 By T. M. H. t tc_i_ The Ting Hsien Mass Education Experiment - - 271 By Y. C. James Yen 1 Nivafoou: Tin Can Island 275 • By B. W. de Montalk II il China's Jade Industry - - - - 278 i%■ i• - Bulletin of the Pan-Pacific Union • 4. And Pan-Pacific Youth, New Series, No. 139 - 281 • g i iit, J' I: iti-liartfir P: agazint . Published monthly by ALEXANDER HUME FORD, Alexander Young Hotel Building, Honolulu, T. H. • possessions, $3.00 in advance. Canada and • Yearly subscription in the United States and a Mexico, $3.25. For all foreign countries, $3.50. Single Copies, 25c. l' Entered as second-class matter at the Honolulu Postoff ice. * Permission is given to reprint any article from the Mid-Pacific Magazine. . TT n IrIlil fill )1101IVATUncRIVIIK7allIMOt; Printed by the Honolulu Star-Bulletin, Ltd. THE MID-PACIFIC
Miss Jane Addams of Hull House, and Alexander Hume Ford, founder and director of th: Pan-Pacific Union. Miss Addams visited Hawaii in August, 1928, as international chairman of the First Pan-Pacific Women's Conference, one of the most important gatherings held under the auspices of the Union. At the second Women's Conference, two years later, a Permanent organization of Pacific women was formed—the Pan-Pacific Women's Association, of which Dr. Georgina Sweet of Australia is the president. THE MID-PACIFIC 203
Japanese girls in a pageant at the Pan-Pacific Research Institution.
1•4,• • e • eeeeeee vAmmAr ms•Apj • • s • IVIIVITC717[711CYTTUIT/I ..moAmammi,p 7:. The Work of the Pan-Pacific Union CI!. By ALEXANDER HUME FORD Director, Pan-Pacific Union (In the 75th Anniversary Edition of the Honolulu Advertiser)
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To mention the accomplishments of the Education Association conference in Pan-Pacific Union is a difficult task. It San Francisco in 1923 and creating the called the first Travel Congress in 1911 World Federation of Education Associa- and sought then to create a Pan-Pacific tions, which has a sectional meeting in Travel Bureau. It called and financed Honolulu in 1932. It called and financed the First Pan-Pacific Science Congress the first Pan-Pacific Commercial Confer- in 1920, now the Pacific Science Associa- ence in 1924, with James A. Farrell tion. It organized locally the Hawaiian (president of the U. S. Steel Corpora- Academy of Science, after months of ne- tion) as chairman. Mr. Farrell was de- gotiation with the national organization. tained at the last moment, but always It issued a call for a Pacific conference of promised to preside over the next Com- Young Men's Christian Association secre- mercial Congress held in Hawaii, and taries, and out of this preliminary work will keep his word next year. grew the Institute of Pacific Relations. The Union conducted two Pan-Pacific It called the First Pan-Pacific Educa- Women's Conferences and has materially tional Congress ; the second, also called aided in the creation of the Pan-Pacific by the Union, uniting with the National Women's Association. It called and 204 THE MID-PACIFIC
financed the first Pan-Pacific Surgical Japan, remained for some months and Congress (a part of its plan for a later successfully demonstrated that the greater Pan-Pacific Medical Congress). Japanese edible oyster would thrive in The surgical body is now the Pan-Pacific Hawaiian waters. He expects to return Surgical Association and again convenes to introduce the cultivation of the pearl in Hawaii in 1933. oyster in Hawaii. A building was set Perhaps the most far-reaching work of aside on the grounds where young men the Union was the calling and conducting from Pacific lands desiring education in of the Pan-Pacific Food Conservation science or agriculture might have a home Congress, primarily a conference of food while attending classes at the University and agricultural scientists, the great ma- of Hawaii. These formed the nucleus of jority of whom were not executives, but the Pan-Pacific Junior Science group actual daily research scientists. Out of that, twenty or thirty strong, dined this conference grew the International weekly at the institution and developed Sugar Technologists' Association that has science photography as well as the use of held two or three conferences since in special cameras in preparing films for different parts of the world. visual education work in the schools. The Pan-Pacific Fisheries Association, Their plan is now being taken up eagerly another outgrowth of the Food Confer- in Japan and China. It was the chairman ence, with David Starr Jordan at its of the Junior Science Group, Northrup head, which is still publishing through the Castle, Jr., who conducted Dr. Galtsoff Journal of the Pan-Pacific Research In- on his visit to Hermes Reef to find the stitution the check list of the fish of the pearl oyster that will grow in Hawaii. Pacific—an undertaking that at the begin- More and more the Pan-Pacific Re- ning Dr. Jordan thought would take a search Institute promises to become the century to accomplish, but which is today, Wood's Hole of the Pacific. Dr. Joseph after six years, nearing completion. Rock makes it his home for several years Dr. Jordan presided at the Pan-Pacific beginning this winter. He will return to Fisheries Conference and with delegates Hawaii to complete his botanical work on from the leading Pacific lands remained the trees of Hawaii. Other distinguished a house guest at the Pan-Pacific Research scientists are planning to make it a home Institution, where he wrote two hooks. during reasearch work at the Institution. The creation of the Pan-Pacific Re- The Pan-Pacific Union is a growth of search Institution was an outgrowth of the spirit of Hawaii. Its first preliminary the first Pan-Pacific Food Conservation pre-natal meetings were held at the Out- Conference. During its sessions the rigger Club beach in 1907. Here Jack Castle family offered the use of its old London, S. Sheba, Dr. Katsunuma, and family mansion (the largest private resi- leading thinkers of all races in Honolulu dence in Honolulu) and seven acres of met at weekly suppers under the hau surrounding grounds in Manoa Valley. trees and discussed international ques- The Pan-Pacific Research Institution was tions. Out of this grew the "Hands- organized with Dr. Jordan at its head, Around-the-Pacific Club, the progenitor and every Friday night for seven years of the Pan-Pacific Union. running from forty to fifty local and The first discussion leading to the crea- visiting scientists met at the institution in tion of the Pan-Pacific Union, however, round-table dinner discussion, ending with was at the home of J. P. Cooke. Here, an illustrated science lecture, to which after a small dinner party, the present di- the public is invited. rector discussed plans in the back of his Science house guests came from every head with his host, J. P. Cooke, Sr., and part of the Pacific. Dr. C. Ishikawa, of Frank C. Atherton. Mr. Cooke gave his THE MID-PACIFIC 205
unqualified approval, and until the day of bill was withdrawn and that of the Jap- his death was the most outspoken anese pressmen substituted. There has friend and supporter of the work, and been no trouble since with the Japanese from members of his family has always press. come the outstanding financial support of The next question before the "12-12- the Union, other than that given by the 12" gatherings of the Pan-Pacific Union governments. The Castles, Baldwins, was that of the control of the language Wilcoxes, Athertons, and Dillinghams schools. Again the aid of the Japanese have also been outstanding contributors. was called in and a bill satisfactory to Frank Atherton spent some years both sides drawn up, presented to the abroad, but finally returned to Hawaii Legislature and became a law. and became vice-president of the Pan- A most vital question at this time was Pacific Union, resigning only to become that of dual citizenship of the Japanese head of the Institute of Pacific Relations, youth. Then Consul General Yada but remaining an advisor of and contribu- pointed out that dual citizenship was tor to the Pan-Pacific Union. forced on Japan, and Germany, too, by Much of the development of the ideas American agreements. However, he took of the Institute took place at the monthly the matter up with Prince Tokugawa, "twelve-twelve-twelve" dinners given by president of the Imperial Diet and hon- the Pan-Pacific Union. At these gather- orary president of the Union for Japan, ings there were twelve outstanding men with the result that the Japanese Diet of each of the leading races in Hawaii— went to remarkable lengths to permit boys European, Chinese and Japanese. Their born in Hawaii of American parents to discussions were most intimate and not become at birth American citizens, loyal reported. only to America. Frank Atherton, Lorrin A. Thurston, It was proved at these gatherings that the Castles, C. K. Ai, C. C. Wang, Dr. interracial disputes might be amicably Iga Mori, S. Sheba, Dr. I. Katsuki, Lloyd settled at the friendly round table, and Killam, Charles Loomis, K. C. Lee- this method has been of great service brick, W. R. Farrington, W. F. Frear, since, both at the Institute and the Union Riley Allen, and, in fact, all the men who meetings. later created the Institute of Pacific Rela- The Institute calls its gatherings of its tions, were participants in these remark- own members biennially ; the Union calls able round-table international discussions. meetings of others than its own members One of the first questions to come up who wish to organize for some particular for discussion was the control of the lan- plan of understanding among Pacific peo- guage press. The Legislature had passed ples, and helps them to create permanent a bill that would practically confiscate the organizations for perpetuating their work newspapers published in the Japanese and and conferences. Chinese languages—it was an unjust bill. Locally in Honolulu the Pan-Pacific Lorrin A. Thurston and Lorrin Andrews Club is the expression of the Pan-Pacific said thus, and they used the Pan-Pacific Union. It has grown and grown until meetings to bring it out to round-table in- now it gives a home to some forty inter- ternational discussion. It was L. A. racial societies, clubs and organizations. Thurston who suggested that the Japanese Out of our Hands-Around the-Pacific pressmen themselves draw up a bill that Club branch in Sydney grew a great club- would be satisfactory to them, but would house in that city which is now the home correct the abuses. They did so ; I think of the Millions Club of New South Soga, of the Nippu Jiji, was the leader, Wales, our affiliated Australian body. In and the bill was so fair that the unjust Shanghai and in Kobe we shall have club- 206 THE MID-PACIFIC houses, and in Tokyo there are plans for to gather from every country, (with the a million-dollar Pan-Pacific clubhouse. aid of the botanists) the medical herbs The idea of a series of Pan-Pacific of each and every Pacific land, and these clubhouses around our ocean where visit- were to be brought together in Hawaii for ing athletic and debating teams may be study. The botanists and agriculturists housed, and distinguished visiting scien- were to send plants of every clime, and tists and educators may find a temporary the experiment of planting these on the home, seems to be gripping the imagina- varying zones of Mauna Kea and Mauna tion of the peoples of the Pacific. I trust Loa tried out. It was a great undertak- that the people of Honolulu will one and ing to create a vast acclimatization garden all support the Pan-Pacific Club there, in the Pacific, so vast that it would prob- for it is the center and example of the en- ably take the combined effort and finan- tire work around our ocean. cial support of many Pacific lands. This The foundation of the Pan-Pacific great project has received the approval Union has been laid in Hawaii. Some and backing of a number of research in- day a great Pan-Pacific Peace Palace will stitutions, and is up for further discus- grace our Ocean Crossroads City. sion and planning. In years gone by the legislative bodies The future conferences of the Pan-Pa- of the United States, China, Japan, Aus- cific Union will probably be on a larger tralia, New Zealand and other Pacific scale than those that have gone before. countries, have voted funds to the support The effort now is to secure government of the Pan-Pacific Union. They must do backing and funds for the calling of these so again. Japan once gave 125,000 gold conferences and carrying out their dollars to the Pan-Pacific Association of projects. Plans are being outlined to Japan with which to entertain the guests bring this about, and in this the director to the third Pan-Pacific Science Congress, of the Pan-Pacific Union is busying him- and she has always appropriated funds to self in the lands about this the greatest of send delegates to conferences called by oceans. the Pan-Pacific Union. In Honolulu the outstanding accom- The time has come now to broaden the plishment of the Pan-Pacific Union is the work of the Pan-Pacific Union and per- establishment of the Pan-Pacific Club- haps have it taken over officially by the house as a home for the social and inter- governments of the Pacific. A confer- racial clubs of the city, as well as for ence to consider ways and means of men and women of all races who will give bringing this about has been requested. The great work of the Pan-Pacific this plan their support and by member- Union lies in the future. For a decade in ship affiliate themselves with the project Japan and in America plans have been of bringing to Hawaii as a gift of the progressing toward a great Pan-Pacific Pacific nations a building of the Pan-Pa- Medical meeting, a Pan-Pacific Agricul- cific Union that will house conferences tural gathering, and one of the botanists from all countries and also provide head- of the Pacific has been promised. These quarters for the local Pan-Pacific Club three are working together in unison and and its work of friendly cooperation may hold their gathering co-jointly. among the representatives of all the races It was hoped that this great gathering that are fortunate enough to live in might convene in Hawaii, but other Hawaii. countries are asking for these confer- The work of the Pan-Pacific Union has ences. As planned, the medical men were just really begun. THE MID-PACIFIC 207
1 The Fighting Instinct and Its Utilization for Peace By COUNT HIROTARO HAYASHI President of the Education Association of Japan
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(Count Hayashi, who is Professor of Then all symptoms of disease do not Pedagogy at the Imperial University of express themselves in each patient ; there Tokyo, is also a member of the House are many exceptional cases, typhus is still of Peers, and vice-president of the World typhus. There are many varieties and Federation of Education Associations. phases of the manifestations of instincts. While en route to the federation's meet- The true nature of instinct is blind; in- ing in Denver, Count Hayashi visited explicableness should be their strongest Honolulu and addressed a group of prom- characteristic. inent educators at a dinner meeting at Some say animals have no inborn desire the Pan-Pacific Club, July 9. The gist to fight. Many animals announce their of his address is given here.) intention to begin hostilities by a special instinct is the native endowment of pose ; for instance, the coiling of snakes, every creature. It is the natural, spon- the crouching of tigers, and the clenching taneous impulse that moves animals, of the fists in man. These are excellent without reason, toward the actions that devices for preventing quarrels and con- are essential to their existence, preserva- flict. If the threatening enemy is gone, tion and development. We call it, some- the animal does not pursue it and returns times, animal sagacity. The reflex theory again quite composed. If two animals explains one phase of the origin of in- quarrel or fight each other and one is stinct. Its supporters hold that instincts conquered, the enemy runs away and the have developed by the gradual accumula- fight is finished. tion of reflex adjustment to the environ- Professor Thorndike maintains also ment. that the tendency to fight is certainly in- Some say that instinct possesses four herent in man's nature and he explains the distinct qualities ; namely (1) innateness ; situation, responses and bonds concerned (2) in the individual, immutability ; (3) in seven ways. in the species, innate universatility ; (4) Self-preservation is a very strong self- it is aroused in response to a specific sit- protective factor. The fighting instinct uation. It is generally accompanied by a might be counted as a manifestation of definite craving or want. Some psycholo- this great instinct, as imitation, food get- gists deny that fighting is an instinct, as ting, protective responses, anger, fear, etc. it does not meet these criteria well. In- It is dangerous to confine several wild stincts appear to be universal within the animals in one cage. They take an ag- limits of the species and they manifest gressive attitude because each wants to themselves by definite and specific re- live, and fighting is necessary for each sponses to definite and specific stimuli. one's safety. The male pheasant fights But the fighting instinct fails to meet the when an enemy assaults his dominion be- requirements of having a specific stimulus cause it threatens his self-preservation. which calls it into play. Cannibalism, which still exists in savage 208 THE MID-PACIFIC tribes, can be explained by the funda- instincts and innate dispositions are al- mental nutritional motives. ways transformable a n d changeable. Fear is an indispensable instinct for Otherwise we could not adapt ourselves self-preservation. National groups living to the new higher stage of culture ; and if in close proximity to one another tend to our innate dispositions are unchangeable, become less friendly rather than to be- culture must remain the same always. come affiliated. Fear drives nations to Society is raising itself in order to ap- mysticism and suspicion. They burst to proach the ideal of a pure humanity. We fight sometimes. This fact can be ex- individuals are also pursuing pure human- plained by self-preservation. ity which is imminent in us. Most of the instincts are likely to be The fighting instinct must change its explained by the law of self-preservation. mode of expression to the newer aspect Even social instincts can be explained of culture ; that is, to a higher stage. The by it. struggle for existence cannot be avoided I do not maintain that modern warfare in human life ; but we can raise this in- does not arise directly from a fighting in- stinct to a higher elevated stage of spirit- stinct. We are living in a very complex ual competition and this spiritual competi- civilization and our lives are no longer tion must be elevated to a stage where it blind, but artificial and intellectual. War does not damage the interests of others. is conducted by technical devices based Antagonism must become merely differen- upon natural sciences. It is a purposeful tiation. The old education was oppressive warfare. Still it is a matter of fact that and modern education is liberalizing. even a complex and artificial war is a Liberalization means the free development transformation of the same fighting in- of an innate nature in response to modern stinct due to the law of self-preservation culture. Without competition there is no deeply rooted in us during many hundred progress, no light, no development. Indi- thousand years. vidual with individual ; nation with nation, Can we stop war ? I say "yes." Be- so the world culture progresses. cause the principal cause of fighting is The opposition of the individual versus stupidity. Most animals fight because the community or every other kind of an- their intelligence is limited. They lack in- tagonism should be conciliated in a syn- genuity to solve the problem of group thetic way and this synthesis will meet a life. Men are rational beings. We must new opposition and again thesis and anti- find means to solve our difficult problems thesis will conciliate themselves, and so without engaging in war. But we do not on. This dynamic antagonism and con- know whether at this stage of civilization, ciliation will continue forever in this we are ready to stop war ; still we must world of culture. Where this conciliation try to solve it intelligently, even by means or synthesis succeeds, there is a distinct of international interference. development. In the school rooms pupils We blame egoism. Egoism is also a learn by association work much quicker very strong innate force, seen everywhere than by doing their isolated tasks. The in individuals and nations, and it can also melancholy work more cheerfully and be traced in animal life. Egoism tends slow pupils work more alertly without also to help self-preservation. It is theo- any hesitation. By tests we have reached retically quite opposed to altruism, but the conclusion that home lessons are not inborn disposition which tends to egoism recommended for this reason. can be transformed into altruism. Innate The fighting instinct, together with disposition should be crushed down ; it others, should be utilized in this way in a must be raised to a higher stage. Our spiritual competition to promote human civilization is dynamic and is transform- culture, both individual and social. For ing its present stage to a higher. Our example, when we play golf, we learn THE MID-PACIFIC 209
from the instructor the correct attitude of sultant is far more than the sum of its the body, how to lift the clubs, how to elements. This physic fact was known hit the ball, what the distance between by Windt and he called it the "Law of the ball and feet should be, etc. After a Creative Synthesis." And now the so- fortnight, a month and even years, per- called "Struktur psychologie" is becom- haps, we do not make pronounced prog- ing popular. ress, whereas a boy who has not learned, In this way all human instincts, in- but only looked on, plays golf far better cluding that of fighting, should not he than we do. Adults are more logical than crushed, but raised to a higher degree children. Adults analyze everything into owing to the modern, complex structure. its minutest detail, and finally can unify Every individual, every nation, must en- them as a totality. Youth tends to grasp deavor to do it. In this way we hope everything as a whole directly. The we may stop wars in future ; international limbs, and the whole body concentrate as cooperation with peaceful competition will one for some purposeful action. The re- promote world happiness.
Some buildings of the Imperial University in Tokyo. 210 THE MID-PACIFIC
Three Chinese delegates to the First Pan-Pacific Women's Conference in Honolulu, two of whom are physicians. Dr. M. I. Ting, on the left, is Medical Director of the Peiyanq Women's Hospital, Tientsin, China, and went from the Conference to the Mainland United States for further study as a fellow at the University of Michigan, and later to Europe; Dr. Ellen Leong (Mrs. T. P. Chou) is a graduate of Rush Medical College, University of Chicago, and has a successful general practice in her home city, Honolulu. Miss Bae-tsung Kyong represented the industrial division of the Shanghai Y. W. C. .4. THE MID-PACIFIC 211 iwircn YrICTIWYripliznrmiKnItm The Seven Ages of Women in Medicine By KATE C. MEAD, M.D. (Parts of a Commencement Address, June 12, 1930, by courtesy of Woman's Medical College of Pennsylvania, in the Medical Reviews of Reviews, March, 1931.)
Though in one sense of the word women have always been considered the natural healers, it is only since the early days of Greece and Egypt that we have known anything definite about individ- uals, either men or women, who were phy- sicians. Religion and medicine were so interrelated in pre-historic times that priests and priestesses, diviners and herb gatherers, regardless of sex, cured their patients when possible, and left the rest to the gods. History gives us the names of a few remarkable men and women be- fore the fifth century, B.C., as all readers of Homer and Herodotus know. But evi- dently medical practice, like weaving and cooking was not considered as impor- tant to the historian as fighting and ath- letic contests. At any rate, between per- sonal references to medical, literary, or scientific individuals long periods elapsed even after the days of Hippocrates. Be- tween Sappho and Aspasia, for example, there were almost two hundred years, and intervals like that between outstand- ing women are common all through the Dr. Yayoi Yoshioka, founder and firesident of ages. the Tokyo Women's Medical College. It was the old Egyptian physician, Ptah Hotep, five thousand years ago, who said : "The boatman reacheth the landing partly great reputations in medicine. We, there- by pulling, partly by letting go." History fore, ask ourselves anxiously, "Are we confirms this metaphor especially as re- now on a professional equality with the gards medical women ; they pulled and best medical men so that our followers let go, but they always did what work will ever continue to progress ? Or is there was in proportion to their ability. there likely to occur another subsidence It startles us to think that medical of women, as in the past, and again a women so seldom achieved recognition superabundance of the obnoxious fem- from the men doctors who acquired the inine inferiority complex." 212 THE MID-PACIFIC
It is generally supposed that man's su- chose, and to continue her practice. This periority, fostered undoubtedly by his fe- story is vouched for by Hyginus, the male relatives, was due to his physical, librarian of the Great Augustus. During not mental, superiority, which brought this period, Socrates announced with about the complementary inferiority of pride that his mother was a learned mid- woman. But, fortunately, seven times in wife, meaning thereby a superior medical history women threw off their dependence practitioner in distinction from priests, and from among them a certain number quacks, or poisoners, for in those days rose into prominence. This independence there was a good deal of hocus pocus and was shown first in the Golden Age of faith cure among sick people. Historians Greece, when Aspasia ruled even Pericles assure us that there were many other im- himself, and the country under him, but portant women doctors, nurses and mid- evidently Pericles was somewhat dis- wives in those days, though their identity turbed by women's activities, organiza- is lost, but after this period for three tions, and power, for in his great funeral hundred years we find no outstanding oration he said to them : "Great will be names except on tombstones. Then, in your glory in not falling short of your nat- 146 B.C., Rome conquered Greece and ural character ; and greatest will be hers carried home not only wonderful treas- who is least talked of among men, ures in art, but also medical men and whether for good or bad." This quotation, women, who, as slaves, were sold for the in effect at least, was used over and over, highest prices, for the Greeks far excelled before each of the seven long and silent the Romans in medicine. This, then, intervals between the high periods in the ushers in our second period, that of the work of medical women. And yet, as the Greco-Roman women doctors of the pre- intervals in music are as important as the Christian times. notes, so, even when not "talked of," we Pliny, in his "Natural History," gives can say with authority that women were us a short account of medicine, and he doing as good medical work as men, al- mentions the names of many of these though, from force of circumstances and noted Greco - Roman medical women particular education, certain great men whose writings, alas, are missing. Galen, at times rose far above the common level. Aetius, Suidas and Priscianus all give us If, however, we search for particularly data about famous women gynaecologists noted medical women we shall find them and dermatologists. One of these was a in each of our seven periods. In our first certain Cleopatra (not the Egyptian period, during the Golden Age of Greece, Queen), whose work has come down to us between the fourth and fifth centuries, through Moschion, printed in the six- B.C., women studied what and where they teenth century along with the text of pleased, with men like Plato, and women Trotula. There was also a famous like Aspasia. Medicine was then as much woman doctor named Aspasia (not the women's vocation as embroidery and wife of Pericles) and a Metrodora, weaving, and they supported each other whose work in manuscript is in the Lau- in their independent work. This fact is rentian library in Florence. well shown by the story of Agnodice, a After this period, however, again we pupil of the great anatomist, Herophilus, hear nothing important about medical who was brought before the judges in women by name for nearly two hundred Athens on the charge of practicing medi- years, though Galen mentioned the fact cine under false pretenses. The women that they were appointed to public health in a body rushed to the court in her de- offices by at least two Emperors, and fense, and she was promptly released and doubtless those in private practice were allowed to wear men's garments if she fully occupied with patients who were THE MID-PACIFIC 213
sick with all sorts of infectious diseases physical strength. Saint Augustine wrote or who suffered from the effects of the that educated women should take care of dissolute life of those decadent clays. the sick and wounded at home, attend Faith in the old gods of healing had women in confinement, bleed or cauterize grown weak, while the new religion of the all who requested it, and gather herbs for Christians had been steadily gaining their medicines. They had four text- ground in spite of persecutions of the books, but not in the least new ones ; the members of that sect. Christian women gynoecology of Cleopatra, the anatomy held as high places in the offices of the of Galen, Dioscorides' materia medica, church as men during those early years, and the Aphorisms of Hippocrates which and many of them were well educated they learned by heart. Such, then, was and systematically organized for effective the state of medicine for six hundred medical service. They conducted religious years before the eleventh century, when meetings, baptized converts, healed the the great school at Salerno springs into sick, fed the hungry, and tried to obey prominence, and brings in our fourth Christ's social teachings to the letter. period. They, therefore, bring in our next or the It is not strange that these dark ages third period of women's outstanding med- should have caused a reaction and made ial work. way for another brilliant medical era. It was in the third century, A.D., when The metaphysical formulas of the Greeks persecutions of Christians were at their and Christians had only muddled science ; height, that Fabiola and Paula, rich and few new hooks were written, and the influential patricians, escaped the fate of monks in their cold cells had copied the many of their comrades. They studied Bible over and over in order to "stab the medicine at the great school on the devil," when hordes of barbarians con- Esquiline Hill, built several hospitals tinually descending through Italy sent where they—personally—tended the pa- monks and scientists away from their tients, and went back and forth between monasteries. Many of the monks of Rome, Ostia, and Jerusalem, in their busi- Monte Cassino fled to Salerno, on the ness of giving medical aid to the needy. coast near Naples, which had long been Saint Jerome praised them very highly, noted for its delightful climate and its for he and other fathers of the church healing springs. Whether the monks had were so busy making creeds that they had originally had a medical school there or no time for other studies than mathe- whether its organization in the eleventh matics, astronomy, and theology, by century was due to a concerted movement means of which to explain the Book of of learned lay men and women is not Genesis. But then, as before in the time known. The city was fortified and pro- of Pericles, their prejudices convinced tected by a great castle, and to its harbor them that women should be humbly sub- came shiploads of pilgrims and crusaders servient to men and hereafter should keep from the west, and traders from the east. out of public and religious affairs. The Medical practice naturally assumed con- result was that women allowed themselves siderable importance in such a cosmopoli- actually to be held in subjection to the tan crowd, and the medical school became church for six hundred years, a period popular because of its remarkable teach- called the darkest part of the Middle ers, women as well as men, of whom Ages, when wars and pestilences seldom Platearius and his wife. Trotula, were ceased. Education was then considered among the most noted. Of his identity only a furbelow, chiefly for rich women, there has never been a doubt—nor of hers but not for healthy men who must be for five hundred years, when some fitted for war and therefore needed only stupid typesetter blundered and Trotula's 214 THE MID -PACIFIC
printed name became Eros Juliae, i.e., gen on the Rhine, on the other hand, Eros, a pre-Christian writer, the freed- was an outstanding medical abbess of the man of Julia, who was the (laughter of twelfth century. She was exceptionally Augustus ! Then for centuries Trotula brilliant as the forerunner of Dante, be- was sometimes herself, but most often cause of her visions, and she was also Eros, while the other "ladies of Salerno," author of the best hooks on medicine of of her period, were frequently quoted, her time. Her Causae et Curae, and her though not by name, for the Salerno treatise on the drugs which she used in school rapidly deteriorated under Arab her large practice were the textbooks for teachers. It was the time of Arabian generations, widely copied and admired at medicine and Arabic translations from the a time when there was nothing new in old classics which were thereby saved medicine but dabblings in alchemy and from fire and plunder. astrology ; therefore the curtain falls In our fifth period, a century later, the again for four hundred years on all origi- scene changes from Italy to Germany. nal medical work by outstanding women. Monasticism was rapidly gaining ground From the fifth period, therefore, we and medical women were again promi- rapidly pass over those four centuries nent. It was indeed a woman's age. when medical women were quietly prac- Noted abbesses ruled large institutions of ticing, perhaps illegally because of the men and women who had withdrawn from stringent laws of church and state the world of wars and famine and pesti- against the public practice of medicine lences, and, as the church had forbidden by any but university graduates. These monks to let blood or to leave their cells were years of religious wars, of fanati- for any public affairs, and ruled that med- cism, of crusaders and of troubadours, ical men must be celibate, it was necessary when, between their persecutions as for the women to do much of the surgery witches and the flattery of minstrels, and most of the visiting of the sick except women were continually plunged into a what was done by laymen or quacks. pit or mounted on a pedestal. The life of The abbesses, therefore, were obliged to Saint Elizabeth, of Hungary, and of Saint know all there was to be known of medi- Catherine, of Sienna, show us, however, cine and surgery, and to teach these sub- that even then, despite laws to the con- jects to their pupils. Abelard had drilled trary, women were obliged by circum- Heloise in medicine until he considered stances to do all of the midwifery and her superior to any man doctor. She most of the daily medical or nursing taught her nuns while Abelard was busy work. No prospective mother would tol- convincing the authorities of the church erate a so-called man-midwife, and few that all the universities should be hence- men would unbend their dignity to act in forth closed to women, as was finally done this capacity ; but men with no practical in the following centuries. These experience did write books for midwives, abbesses not only taught the seven liberal in German or French or English, trans- arts and medicine, but they manipulated lated from the old Latin authors, and vast sums of money. Many of their rich illustrated crudely from their own imagi- subordinates became very well educated nation with drawings of the foetus in and quite superior in practical medical utero in various impossible acrobatic posi- work to men of the universities, although, tions. as Shakespeare says, they had not "ate In the sixteenth, seventeenth and paper nor drunk ink." With few excep- eighteenth centuries, though most women tions, however, they were merely con- were grubbing along in unsanitary condi- tinual plodders, taking authority from tions, many of the richer women were others' books. Saint Hildegarde, of Bin- playing chess and doing fine embroidery, THE MID-PACIFIC 215 learning Latin and poetry, while a few period which led up to the great stirring stand out as really great midwives, and, in of women for education and organization France, the salons of the "blue stockings" in the middle of the nineteenth century. were famous. Louyse Bourgeois, a pupil Our seventh period is ushered in by this and friend of Ambroise Pare, was the revival of learning and desire of Elizabeth first of the noted midwives whose care of Blackwell to study medicine and take a queens and noble ladies brought them into degree at a man's college. After many re- prominence. She wrote a compendium on buffs in different cities, she was admitted obstetrics early in the seventeenth century, to the college at Geneva, N. Y., now Ho- dedicated to her daughter, and she tried to bart College, and there, in 1849, she re- elevate her profession in every way, but ceived her diploma. In the following the majority of the midwives were con- year loyal friends of Ann Preston and tent to plod along in the old ruts, refusing other ambitious women of her generation to take any interest in the new obstetric succeeded in founding the Female Medi- instruments, or make any change in their cal College of Pennsylvania. It was old technique. A little later the Chamber- again an age of women. Mary Lyon and lens, the great Harvey, and the noble Emma Willard had opened two schools Hunters in vain tried to induce the Eng- for the higher education of women, Mt. lish government to undertake the educa- Holyoke "Seminary" was then in its ninth tion of these women the midwives them- year and Oberlin as a co-educational col- selves were only half-hearted in the mat- lege, was in its seventh, when Lucy Stone, ter, and not in the least organized for their Elizabeth Blackwell's sister-in-law, pre- own interests. Nothing, therefore, came sided at the first suffrage convention at of this attempt at improvement in the edu- Seneca Falls, N. Y., in 1848. In 1854, cation of women in medicine until the late Emily Blackwell graduated in medicine at eighteenth century, when several famous the Western Reserve College in Cleve- midwives in France and Germany at- land, Ohio, and in 1857 the first woman's tracted large classes of pupils, wrote im-- hospital in the modern world was opened portant and original books on obstetrics, by the Blackwells in New York City. In and were conspicuously successful with the meantime, these pioneers had stirred the most difficult labor cases. Such were others to study medicine in England, Madame Boivin and Madame La Cha- France and Scotland ; Marie Zakrzewska pelle, in France ; Frau Siegemundin, in had already begun her work which was to Germany ; Vrouw Cramer, in Holland, revolutionize the practice of obstetrics in and others in England. Hunter Robb has Boston. In 1860, Florence Nightingale said that these women were remarkable started the first training school for nurses for their skill, and quite superior to the at St. Thomas's Hospital in London, and average obstetrician today. Their mottoes woman doctors were henceforth to be sep- were : By art, not by force, and Be care- arated forever from nurses and ordinary ful to do no harm. They were as well midwives. In 1864 Switzerland opened trained in general medicine as the men of its medical schools to women. In 1865, their times, although they may not have the New York Infirmary and Medical known as much Latin or Greek or mathe- School for Women was opened, and in matics. Abraham Flexner. our modern 1867, France followed Switzerland. educational censor, has said that a good London capitulated to Elizabeth Garrett mind, a knowledge of how to use it, and Anderson, Sophia Jex Blake, Elizabeth a basis of facts makes a good doctor, and Blackwell and others in 1877, and we can these qualities were indeed part of the say with justified pride that most of the equipment of many of the privately medical schools in the world are now open trained men and women doctors of the to women on the same terms as to men. 216 THE MID-PACIFIC
Few of them, once open, have ever been training as men all we lack is their train- closed except for financial reasons. ing in military tactics, and therefore, there When one can point to such remarkable should be no longer inferior positions as- women as Alice Hamilton in industrial signed to us. When it is possible for diseases, Florence Sabin in anatomical re- women like Louisa Garrett Anderson and search, Gladys Dick in immunology, Flora Murray to manage a military hos- Louise Pearce and Marie Krogh in bac- pital of one thousand beds, or for Elsie terial diseases, Dean Martha Tracy in Inglis to take two war units to Serbia, public health and institutional manage- and with the Serbians evacuate their ment, Anna Broomall and Rachelle Yar- country, marching, hungry, cold, and ros in obstetrics, Clara Swain in mission- thirsty for days, like men, or for Olga ary hospital work, Maude Abbott in the Stastny, with a small Greek force of two pathology of heart disease and the man- hundred men, on a desert island in mid- agement of medical museums, Ida Mann winter, to receive a thousand sick refu- and others in ophthalmology, Alice Bryant gees daily from Turkey and treat their in work for the deaf, Louisa Martindale diseases, feed them, and keep order, or for in radiology, Bertha Van Hoosen and the Rosalie Slaughter-Morton to win ten women of the American College of Sur- military emblems, it would seem as if the geons in their specialty, and equally fa- barriers had been verily taken down ; but mous women in every country of Europe, unfortunately, they have been rebuilt since we realize that the world had need of the war, and it remains for the women women doctors, and we pity the ignorance doctors themselves to unite in so putting of those cynics who ask what women their case as to receive justice from the have done to justify their education and army and navy. the money spent on it. That we have If the advance of women in medicine not as yet a Pasteur, Lister, Osler, or depends upon their education and organi- Welch, or Gorgas, among women doctors zation, we feel that we may look forward is not surprising in consideration of the with optimism to a future of steady short eighty years in which they have had progress, for we have the trained experts, to get up momentum and adjust their ma- the educational institutions and teachers chinery to the business of practicing medi- and the national, regional and interna- cine. We must remember that the path tional medical women's organizations al- of glory leads but to the grave, and ready functioning. But one more ques- women have been so busy with the making tion still confronts us : Who are now of paths as to leave little time in which to medical women ? They once were mid- push each other up to the peaks of fame. wives in the best sense of the word, but There is still one barrier to be removed now, besides being M.D.'s, they are bacte- before women stand upon a perfect equal- riologists, like Pasteur, or radiologists, ity with men in the eyes of the world. like Marie Curie, or cancer investigators, This is the barrier of the army and navy, like Maude Slye, or hygienists, or bio- for though in France in 1918, four chemists, like Katherine Blunt, none of women were granted the rank of Aide whom has a medical degree. Should they Major of the second class, with its insig- not be honorary members of our medi- nia, and though in all the warring nations cal societies ? This puzzles a historian women did as good surgical and medical who is bound to conform to the constitu- work as men, it is only in Russia that tion of the American Medical Association women are even yet eligible for army and to which we all belong. The discussiOn navy medical posts, or for the insignia of this question must, however, be left to and commissions given to nurses. Since the future. we have the same standardized medical In conclusion, we may repeat the words THE MID- PACIFIC 217 of Isaac Barton, a great friend and bene- ship between men and women doctors, and factor of all institutions of learning, who a wider and deeper education in cultural said with pride : "Women doctors are subjects as well as in medical sciences superior to many, inferior to none." To which will result in an ever-increasing these words of confidence in women doc- service to humanity. tors, Dr. Marie Zakrzewska, true to her Then we may say with Whitman in one ideals, added a word of criticism : "Noth- of his inspired utterances (from "Leaves ing has more retarded the progress of of Grass") : medicine from becoming really scientific than its separation from general learning, This day before dawn I ascended a hill and looked at the crowded heaven, i.e., a good foundation of culture." And I said to my spirit, Therefore, let me add, that it is not a When we become enfolders of those orbs substitution of women for men that will and the pleasure and knowledge of everything in them, shall we be filled bring about a new impetus to medical ef- and satisfied then? ficiency, but a closer union of women And my spirit said, No, we but level that themselves, together with truer comrade- lift to pass and continue beyond.
Nurses of various nationalities at the Queen's Hospital, Honolulu,